Pediatric anesthesia & critical care
Jelly snakes to reduce early postoperative vomiting in children after adenotonsillectomy: The randomized controlled snakes trial
Authors' conclusion
Chewing of confectionery jelly snakes within one hour of waking following adenotonsillectomy with vapour-maintained anaesthesia and two prophylactic antiemetics did not further reduce the incidence of early vomiting.
Study context
- Population
- Children 2–16 years after adenotonsillectomy233 randomised
- Participants
- 240 children
- Comparison
- Chewing a confectionary jelly snake postoperatively vs standard care
- Snaken = 118
- Controln = 115reference
- Primary endpoint
- Number of episodes of vomiting (ITT)
- Follow-up
- 6 h
Methodological detailsprospective, open-label
- Prospective
- Open-label
Primary result
As reported in the abstract
Vomiting episodes
| Group | Value | Vomiting episodes |
|---|---|---|
| Control | 19% | 39 |
| Snake | 16% | 31 |
Value
Control19%
Snake16%
Vomiting episodes
Control39
Snake31
- Snake vs Control: P = 0.666 — similar between groups
Secondary outcomes
Antiemetic doses and delayed discharge due to postoperative nausea and vomiting (PONV) · PACU until 24 h
- No difference between groups
Per-protocol analysis
- Did not change the result
Original publication
Jelly snakes to reduce early postoperative vomiting in children after adenotonsillectomy: The randomized controlled snakes trial. Anaesth Crit Care Pain Med. Published 2 December 2023. doi:10. 1016/ j. accpm. 2023. 101334
Composed by AI from the published abstract and checked against it. How Briefs are made →